Active NPI
Andrew Dean Chen, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Woodstock, GA
National Provider Identifier
1518035849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN014701
- Practice address
- 12195 Highway 92
Suite 148
Woodstock, GA 30188-3602 - Phone
- (770) 517-2772
- NPI assigned
- Dec 4, 2006
- Last updated
- Nov 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 52354 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN014701 | GA | Primary |
Addresses
Primary practice location
12195 Highway 92
Suite 148
Woodstock, GA 30188-3602
Mailing address
PO Box 3367
Manhattan Beach, CA 90266-1367
Phone (403) 619-7320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014701 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 52354 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1518035849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3367",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902661367",
"telephone_number": "403-619-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12195 HIGHWAY 92",
"address_2": "SUITE 148",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883602",
"telephone_number": "770-517-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANDREW",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "52354",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN014701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
- Ohkyoung Chang, DDS
- Jonathan David Chao, O.D.
- Tomas J Chao, PA
- Priyanka Chaudhari, MD
- CHC -Woodstock Nursing & Rehab Center, LLC (Woodstock Nursing and Rehabilitation Center)
- Emily Y Chen, DDS
- Cherokee Center for Change Counseling, Inc.
- Cherokee Center for Change, Inc
- Cherokee Counseling and Psychological Asscociates
- Cherokee County Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.